Case #1

30 year old non-smoker female of Caribbean decent.  Patient reports no medical problems and maintains good health.  Her vital signs were within normal limits: Blood Pressure 125/84; Pulse 68. Patient has no significant or oral pathological findings.  Her entire dentition is present, gold only on #9.  Patient has bilateral Class I occlusion, 3 mm overjet with 15% overbite.  Slight generalized attrition, no erosion, no abfraction or no abrasion present.  Radiographs were completed at patient’s doctor in September 2015, hence radiographs were not recommended.  This patient exhibited moderate generalized inflammation.  She also exhibited moderate bleeding upon probing, indicating gingivitis.  Anteriorly, her probing depths were 1-3mm; however, posteriorly she had pockets that were 4-5mm.  And because the latter findings, the patient was considered perio case type II.  Patient had moderate generalized staining with heavy localized staining lingual of sextant 5, heavy subgingival calculus with localized supragingival areas on the mandible.  Patient reported that she drank green tea daily.  Patient was considered Heavy/II.   During his first treatment session, I taught her how to brush and floss, since disclosing her identified a lack of interproximal oral hygiene and improper bushing technique.   I recommended interdental floss picks and a powered toothbrush for simplicity and patient compliance.  On the second visit, I used prophy jet to  help remove some of the stain, then use the ultrasonic followed by hand instruments to remove the remaining stain and calculus deposit.  The patient recare visit was 3 months.